KEVIN L. RUSSELL

SAN DIEGO, CA
NPI1780722868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: AZ  20269)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
Dr. KEVIN L. RUSSELL MD, MTM&H
34800 BOB WILSON DR NMCSD
SAN DIEGO, CA 92134-1098
Phone number: 760-522-8973
Mailing Address
Dr. KEVIN L. RUSSELL MD, MTM&H
1615 E 7TH ST
OKMULGEE, OK 74447-4813
Phone number: 760-522-8973